Distinguishing among motor speech disorders is important: The role of speech pathology in neurologic diagnosis

Joseph R. Duffy

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The contribution that distinguishing among motor speech disorders (MSDs) can make to the localization and diagnosis of neurological disease is frequently ignored by medicine and, at the least, underappreciated by speech-language pathology. This is of no small consequence because speech abnormalities can be the presenting or most prominent sign of neurologic disease. This chapter addresses the relationship between the differential diagnosis of acquired MSDs and the localization and diagnosis of neurologic disease. It highlights the clinical reality of the relationship through five case studies and a summary of the specific lessons they provide that illustrate the sometimes crucial importance of recognizing the meaning of speech signs in clinical diagnostic settings. The chapter reviews foundations on which such clinical contributions have been built, and a few examples of recent studies of dysarthria or apraxia of speech associated with neurodegenerative disorders (paraneoplastic cerebellar degeneration, tauopathies) that are helping to refine those abilities. Finally, it offers some thoughts about how future clinical practice and training, and clinical and more basic research, can improve the contributions that MSD diagnosis can make to medical diagnostic efforts in clinical practice.

Original languageEnglish (US)
Title of host publicationSpeech Motor Control: New Developments in Basic and Applied Research
PublisherOxford University Press
ISBN (Print)9780191696671, 9780199235797
DOIs
StatePublished - Mar 22 2012

Fingerprint

Speech-Language Pathology
Speech Disorders
Nervous System
Nervous System Diseases
Paraneoplastic Cerebellar Degeneration
Tauopathies
Apraxias
Dysarthria
Aptitude
Neurodegenerative Diseases
Differential Diagnosis
Medicine
Research
Motor Disorders

Keywords

  • Clinical practice
  • Diagnosis
  • Motor speech disorders
  • Neurodegenerative disorders
  • Neurologic disease
  • Speech abnormalities

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Duffy, J. R. (2012). Distinguishing among motor speech disorders is important: The role of speech pathology in neurologic diagnosis. In Speech Motor Control: New Developments in Basic and Applied Research Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199235797.003.0016

Distinguishing among motor speech disorders is important : The role of speech pathology in neurologic diagnosis. / Duffy, Joseph R.

Speech Motor Control: New Developments in Basic and Applied Research. Oxford University Press, 2012.

Research output: Chapter in Book/Report/Conference proceedingChapter

Duffy, JR 2012, Distinguishing among motor speech disorders is important: The role of speech pathology in neurologic diagnosis. in Speech Motor Control: New Developments in Basic and Applied Research. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199235797.003.0016
Duffy JR. Distinguishing among motor speech disorders is important: The role of speech pathology in neurologic diagnosis. In Speech Motor Control: New Developments in Basic and Applied Research. Oxford University Press. 2012 https://doi.org/10.1093/acprof:oso/9780199235797.003.0016
Duffy, Joseph R. / Distinguishing among motor speech disorders is important : The role of speech pathology in neurologic diagnosis. Speech Motor Control: New Developments in Basic and Applied Research. Oxford University Press, 2012.
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